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HomeMy WebLinkAboutNCC222501_NOI Application_20220726Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 7/11/2022 8:58:49 AM (NCG01 NOI Submission) Approve by Broussard, Brooklyn C 7/11/2022 9:02:31 AM (Review - NOI 96891 EDEN ROCK VILLAGE SUBDIVISION) • The task was assigned to Broussard, Brooklyn C by round robin distribution 7/11/2022 8:59 AM • The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 14, 2022 5:00 PM 7/11/2022 8:59 AM by Workflow 7/11/2022 9:02:40 AM (Workflow Start Event) Submit by Tran, Kieu M 7/26/2022 10:21:31 AM (Payment Verification for NCC222501) F Eden Rock Enterprises LLC • Tran, Kieu M assigned the task to Tran, Kieu M 7/26/2022 10:19 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 22, 2022 5:00 PM 7/11/2022 9:02 AM �a NORTH CAROLINA, Enri--tn! C2-1;ly A. Project Information Part A. Project Location and Waterbody Information ................................................................................................................... . Are you submitting No an NOI that was • Yes rejected before? Previous Rejected 96859 NOI No. Prior Reviewer Name Brooklyn Broussard la. Project Name* EDEN ROCK VILLAGE SUBDIVISION 1 b. Specific Lot This field may be used to list specifc lot numbers. Numbers 1 c. Parcel ID List all PINs associated with this project. Number(s) (PIN) 9757-17-9435 9757-17-9523 9757-27-0580 9757-27-0619 9757-27-0681 9757-27-1217 9757-27-1347 9757-27-1414 9757-27-1487 9757-27-1670 9757-27-2305 9757-27-2363 9757-27-2455 9757-27-2537 9757-27-3154 9757-27-3268 9757-27-3310 9757-27-3389 9757-27-3422 9757-27-3504 9757-27-3572 9757-27-4121 9757-27-4170 9757-27-4215 9757-27-4253 9757-27-4347 9757-27-4439 9757-27-5029 9757-27-5078 9757-27-5213 vibe-21-52i1 9757-27-5306 9757-27-5365 9757-27-5418 9757-27-5478 9757-27-6028 9757-27-6077 9757-27-6232 9757-27-6292 9757-27-6316 9757-27-6366 9757-27-6449 9757-27-6698 9757-27-7026 9757-27-7086 9757-27-7252 9757-27-7316 9757-27-7376 9757-27-7500 9757-27-7580 9757-27-8045 9757-27-8078 9757-27-8223 9757-27-8284 9757-27-8338 9757-27-8480 9757-27-8543 9757-27-9022 9757-27-9168 9757-27-9248 9757-27-9372 9757-27-9425 9757-27-9492 9757-27-9509 9757-27-9571 9757-37-0021 9757-37-0052 9757-37-0084 9757-37-0668 9757-37-0671 9757-37-1102 9757-37-1207 9757-37-1211 9757-37-1321 9757-37-1349 9757-37-1448 9757-37-1514 2. County* Madison 3. Highway or Street 30 Parkway View Road Address* Street name only is acceptable if no address number assigned yet 4. City or Township* Mars Hill 5. State* NC 6. Zip Code* 28754 7. Latitude* Enter the latitude in decimal degrees 35.8347 8. Longitude* Enter the longitude in decimal degrees (MUST be negative) -82.5347 If you do not know the latitude and longitude coordinates for this project, you can search the location on this map of North Carolina. Look for the coordinates in the bottom left corner. 9. Date to Begin* 05/30/2019 Estimated Construction Project Start Date 10. Date to End* 05/31/2024 Estimated Construction Project End Date 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial Classification for Development 12. Acres to be 23.00 disturbed* (including off -site borrow and waste areas) 13. Total site area 27.68 (acres) * 14. Post -construction 5.75 impervious area (Estimated) (acres)* Project Tracking ID NCC-MADIS-2019-EDEN ROCK VILLAGE SUBDIVISION Assigned automatically (not used) Below you must enter waterbody information for surface waters affected by this project. Please consult DWR's Surface Water Classifications Map Viewer to find waterbody name and corresponding index number. Please enter only immediate receiving waterbodies - not waters downstream of those unless the project extends there. You may enter up to 3 waterbodies if needed. 15a. Receiving Big Branch Waterbody * Name of waterbody into which stormwater runoff will discharge 15b. Waterbody Index 6-96-10-5 No. * NC Waterbody Index Number Stormwater No discharges will flow Yes to additional waters* 16a. Is this project Yes subject to the NC No, not subject to NC SPCA Sediment Pollution Control Act?* B. Permittee Information Part B. Permittee Information - Legally Responsible Entity and Individual ........................................................................................................................................................................ Important: The person who signs the NOI Certification Form and signs the Certification in Section E of this application form must be the same person as listed in THIS SECTION, or an authorized responsible individual within the same organization. That person must be a responsible corporate officer who owns or operates the construction activity, such as a president, secretary, treasurer, or vice president, or a manager that is authorized in accordance with Part IV, Section B, Item (6) of the NCGO10000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. 1. Permittee* Legally Responsible Entity Eden Rock Enterprises, LLC If permittee is an individual, enter first and last name in this field. Otherwise, enter organization/business name. Note: If the permittee is a business, the business must be registered with the NC Secretary of State. You can verify the registration here. Permittee must be the same entity that is responsible for the land -disturbing activity as listed on the NC SPCA Financial Responsibility/Ownership (FRO) Form. 2. First Name* Brandon If Corporation, enter Registered Agent First Name 3. Last Name* Quinn If Corporation, enter Registered Agent Last Name 3b. Title Manager 4. Permitee E-mail edenrockenterprises@gmail.com Address* 5. Permittee 828.778.9457 Telephone No.* 6. Permittee Mailing Street Address Address* 94 Anderson Street Address Line 2 po box 326 City State / Province / Region Mars Hill NC Postal / Zip Code Country 28754 United States Check box if the Yes street address the same as mailing address 7. Permittee Street Street Address Address* 94 Anderson Street Address Line 2 po box 326 City State / Province / Region Mars Hill NC Postal / Zip Code Country 28754 United States 8. Type of Ownership is only individual if an individual is named in B.A. above. Ownership* Non -Government C. Site Contact Information Part C. Project Site Contact Information 1. Primary Site Brandon Contact - First Name* 2. Primary Site Quinn Contact - Last Name* 3. Title Manager 4. Site Contact E-mail edenrockenterprises@gmail.com Address* 5. Site Contact 828.778.9457 Telephone No.* 6. Organization Name Eden Rock Enterprises, LLC 7. Site Contact Street Address Mailing Address* po box 326 Address Line 2 City Mars Hill Postal / Zip Code 28754 8. Consultant Name (optional) Bradley Johnson, PE First and Last name 9. Consultant E-mail brad@pesquared.com This person will be copied on all correspondence. 10. Consultant 704.916.9732 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) edenrockenterprises@gmail.com Default is legally responsible person e-mail 12. Billing Telephone (For Annual Fee correspondence) 828.778.9457 Default is legally responsible person telephone State / Province / Region NC Country United States D. E&SC Plan Part D. Erosion & Sediment Control (E&SC) Plan Approval Information 1. Date E&SC Plan 11/03/2020 Approved * 2. E&SC Plan Project MADIS 2019-004 Number/ID* Assigned by agency or local program 3. E&SC Plan State DEQ Office Approved by* Local Program 4. State DEQ Office* Asheville (ARO) Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a complete application. Please also upload a site map showing the overall extent of the project (for linear projects, can include the beginning point and end point coordinates in the "Notes" box below). 5. E&SC Plan LOA 11-3-2020.docx.pdf 883.61KB Approval letter or Must be PDF format Grading Permit 6. Signed FRO Financial Responsibility/Ownership Form 20190426-FRO-SIGNED.pdf 581.29KB Must be PDF format 7. Site Location Map Must be PDF format (limit 20 MB) Location-Map.pdf 243.69KB Please do not upload entire set of E&SC plans. 8. Notes (Optional) Provide any additional information that might help the reviewer better understand how uploaded documents support the application. Include additional waterbodies if necessary. 9. NOI Certification NCG01-NOI-signed.pdf 812.37KB Form Must be PDF format This is an Express • No Review Project* Yes E. Certification North Carolina General Statute 143-215.6113 (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: * I am the person responsible for the construction activities of this project, for satisfying the requirements of this permit, and for any civil or criminal penalties incurred due to violations of this permit. * The information submitted in this NOI is, to the best of my knowledge and belief, true, accurate, and complete based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information. * I will abide by all conditions of the NCG010000 General Permit and the approved Erosion and Sediment Control Plan. * I hereby request coverage under the NCG010000 General Permit and understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. Specify if you are:* The Legally Responsible Person named on this Notice of Intent Authorized Responsible Person' (signing on behalf of Legally Responsible Person named in Part B) Important: The person who electronically signs this Certification above must be the same person who signs the NOI Certification Form. If that person is signing on behalf of the Permittee, that individual must be an authorized responsible person within the same organization as the Permittee. *An authorized individual is a responsible corporate officer who owns or operates the construction activity, such as a president, secretary, treasurer, or vice president, or a manager that is authorized in accordance with Part IV, Section B, Item (6) of the NCG010000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. Signature ��ff•6�C+C N/f llG6!i� Type Name* Brandon L Quinn Title Managing Memeber Organization Legally Responsible Entity Eden Rock Enterprises LLC Date * 07/11 /2022 F. Tracking and COC Info NOI Tracking No. 96891 NC Reference No. NCG01-2022-2501 Indicates NCG01 or NCG25. Uses NOI number until approved, then uses NUMBER incremented by SP (passed from workflow if eNOI approved) Certificate of NCC222501 Coverage (COC) No.* Uses NOI number until approved, then uses NUMBER incremented by SIP (formatted and passed from workflow if eNOI approved) Initial Invoice No. NCC222501-2022 Invoice Due Date 8/10/2022 Initial Fee $ 100.00 Invoice Status OPEN